• Source: Washington University Website "Robotic surgery is more efficient and precise than either open or laparoscopic surgery for tumors confined to the kidney," says Bhayani, assistant professor of surgery and a leader in the field of robotic surgery. (theroboticsurgeon.com)
  • Comparison of 1,800 laparoscopic and open partial nephrectomies for single renal tumors. (ac.ir)
  • Does nephrometry scoring of renal tumors predict outcomes in patients selected for robot-assisted partial nephrectomy? (wakehealth.edu)
  • Robotic and laparoscopic partial nephrectomy for T1b tumors. (wakehealth.edu)
  • The adoption of robotic assistance has contributed to the increased utilization of partial nephrectomy for the management of renal tumors. (biomedcentral.com)
  • As an oncological urologist, Dr. Liu specializes in the surgical treatment of urinary tumors, especially in robotic and minimally invasive laparoscopic surgeries, as well as the comprehensive treatment of bladder cancer and testicular cancer, and the surgical treatment of children's tumors. (sysucc.org.cn)
  • Evaluation of renal function under controlled hypotension in zero ischemia robotic assisted partial nephrectomy. (ac.ir)
  • A nonrandomized prospective comparison of robotic-assisted partial nephrectomy in the elderly to a younger cohort: an analysis of 339 patients with intermediate-term follow-up. (wakehealth.edu)
  • To summarize the available evidence on renorrhaphy techniques and to assess their impact on peri‐operative outcomes after minimally invasive partial nephrectomy (MIPN). (bjuinternational.com)
  • Integrated overview of evidence‐based technical principles for renal reconstruction during minimally invasive partial nephrectomy and suggested standardized reporting of key renorrhaphy features in clinical studies on this topic. (bjuinternational.com)
  • Traditionally, partial nephrectomy had been performed via an open approach but there has been a steady trend toward a minimally invasive approach [ 2 ]. (biomedcentral.com)
  • As partial nephrectomy is increasingly performed with a minimally invasive approach, control of intraoperative hemorrhage can be more challenging than simple manual compression of the renal parenchyma with suturing, as can be done in open surgery. (biomedcentral.com)
  • Robot-assisted surgery probably results in less blood loss than open or laparoscopic approaches, for both partial nephrectomy and cystectomy procedures. (va.gov)
  • There is a signal that length-of-stay may be shorter and major complications may be fewer for robot-assisted cases of partial nephrectomy, but again the certainty of evidence is low . (va.gov)
  • The data comparing robot-assisted partial nephrectomy and cystectomy to other approaches have underlying methodologic limitations and long-term studies are sparse. (va.gov)
  • Studies providing sufficient details on renorrhaphy techniques during laparoscopic or robot‐assisted partial nephrectomy and comparative studies focused on peri‐operative outcomes were included in qualitative and quantitative analyses, respectively. (bjuinternational.com)
  • Specific tumour features (i.e. size, hilar location, anatomical complexity, nearness to renal sinus and/or urinary collecting system), surgeon's experience, robot‐assisted technology, as well as the aim of reducing warm ischaemia time and the amount of devascularized renal parenchyma preserved represented the key factors driving the evolution of the renorrhaphy techniques during MIPN over the past decade. (bjuinternational.com)
  • To prospectively compare the surgical and pathological outcomes obtained with robot-assisted laparoscopic partial nephrectomy (RAPN) or laparoscopic PN (LPN) for renal cell carcinoma in a multicentre cohort. (bjuinternational.com)
  • Robot-assisted partial nephrectomy: current status, techniques, and future directions. (wakehealth.edu)
  • Does experience in creating a robot-assisted partial nephrectomy (RAPN) programme in an academic centre impact outcomes or complication rate? (wakehealth.edu)
  • Do statin medications impact renal functional or oncologic outcomes for robot-assisted partial nephrectomy? (wakehealth.edu)
  • Oncologic Outcomes Following Robot-Assisted Laparoscopic Nephroureterectomy with Bladder Cuff Excision for Upper Tract Urothelial Carcinoma. (wakehealth.edu)
  • Predictors of Medical and Surgical Complications After Robot-Assisted Partial Nephrectomy: An Analysis of 1139 Patients in a Multi-Institutional Kidney Cancer Database. (wakehealth.edu)
  • Robot-assisted partial nephrectomy: continued refinement of outcomes beyond the initial learning curve. (wakehealth.edu)
  • Selective arterial clamping does not improve outcomes in robot-assisted partial nephrectomy: a propensity-score analysis of patients without impaired renal function. (wakehealth.edu)
  • Predicting Complications Following Robot-Assisted Partial Nephrectomy with the ACS NSQIP® Universal Surgical Risk Calculator. (wakehealth.edu)
  • He is one of the first surgeons in China to carry out robot-assisted/laparoscopic retroperitoneal lymph node dissection for testicular cancer and ultra-expanded lymph node dissection for bladder cancer. (sysucc.org.cn)
  • ObjectiveTo compare the perioperative outcomes of robotic partial nephrectomy (RPN) with laparoscopic PN (LPN) performed for small renal masses (SRMs), in a large multi-institutional series and to define a new composite outcome measure, termed 'optimal outcome' for the RPN group. (wustl.edu)
  • Robotic-assisted surgery for partial nephrectomy and cystectomy have a few documented short-term benefits over open or laparoscopic approaches, but the cost effectiveness is unknown, and long-term functional and oncologic outcomes are inadequately studied. (va.gov)
  • Most other differences in outcomes probably may be small or non-existent (i.e., complications, lymph node sampling [for cystectomy], warm ischemia time [for partial nephrectomy], etc. (va.gov)
  • The first is randomized data for patients undergoing partial nephrectomy, in terms of short-term outcomes. (va.gov)
  • The second is high-quality evidence with adequate long-term follow-up to assess cancer outcomes between the operative approaches for either partial nephrectomy or cystectomy. (va.gov)
  • UroToday - Positive Surgical Parenchymal Margin After Laparoscopic Partial Nephrectomy for Renal Cella: Oncological Outcomes Carcinom Thursday, 15 March 2007 BERKELEY, CA (UroToday.com) - Positive margins following supposedly curative surgery can be devastating for patient and surgeon alike. (theroboticsurgeon.com)
  • Comparison of clamping technique in robotic partial nephrectomy: does unclamped partial nephrectomy improve perioperative outcomes and renal function? (wakehealth.edu)
  • Emerging technologies to improve techniques and outcomes of robotic partial nephrectomy: striving toward the pentafecta. (wakehealth.edu)
  • Main Renal Artery Clamping With or Without Renal Vein Clamping During Robotic Partial Nephrectomy for Clinical T1 Renal Masses: Perioperative and Long-term Functional Outcomes. (wakehealth.edu)
  • Comparative Analysis of Renal Functional Outcomes and Overall Survival of Elderly vs Nonelderly Patients Undergoing Radical Nephrectomy. (wakehealth.edu)
  • Comparison of perioperative and functional outcomes of robotic partial nephrectomy for cT1a vs cT1b renal masses. (wakehealth.edu)
  • Reevaluating Warm Ischemia Time as a Predictor of Renal Function Outcomes After Robotic Partial Nephrectomy. (wakehealth.edu)
  • This review of an article by one of the founders of laparoscopic urology shows that with one of the common laparoscopic method to remove a kidney, ureter, and bladder cuff for transitional cell caner of the upper urinary tract lining there seems to be a higer recurrence rate and positive margins. (theroboticsurgeon.com)
  • Near-infrared fluorescence imaging to facilitate super-selective arterial clamping during zero-ischaemia robotic partial nephrectomy. (wakehealth.edu)
  • Robotic versus laparoscopic partial nephrectomy: a systematic review and meta-analysis. (ac.ir)
  • With the increasing use of robotics, many centres have reported their early experiences using it for nephron-sparing surgery.Objective: to review published literature comparing robotic partial nephrectomy (RPN) with laparoscopic partial nephrectomy (LPN).Evidence acquisition: an online systematic review of the literature according to Cochrane guidelines was conducted from 2000 to 2012 including studies comparing RPN and LPN. (soton.ac.uk)
  • The Trifecta was defined as negative surgical margin, zero perioperative complications and a warm ischaemia time of ≤25 min. (wustl.edu)
  • Source: UroToday The mean total operative time (140 vs 156 minutes, P = .04), warm ischemia time (19 vs 25 minutes, P = .03), and length of stay (2.5 vs 2.9 days, P = .03) were significantly shorter for RPN than for LPN, respectively. (theroboticsurgeon.com)
  • Quantitative synthesis showed that running suture was associated with shorter operating and ischaemia time, and lower postoperative complication and transfusion rates than interrupted suture. (bjuinternational.com)
  • Barbed suture had lower operating and ischaemia time and less blood loss than non‐barbed suture. (bjuinternational.com)
  • The single‐layer suture technique was associated with shorter operating and ischaemia time than the double‐layer technique. (bjuinternational.com)
  • The operative data included operative duration, warm ischaemia time (WIT) and estimated blood loss (EBL). (bjuinternational.com)
  • Running-clip renorrhaphy reducing warm ischemic time during laparoscopic partial nephrectomy. (ac.ir)
  • The RPN group had significantly less warm ischaemic time than the LPN group ( p = 0.0008). (soton.ac.uk)
  • Since that time, the authors have performed a total of over 1500 robotic partial nephrectomies. (biomedcentral.com)
  • To help clinicians, patients, and policymakers decide between robotic and other surgical approaches in patients undergoing partial nephrectomy and cystectomy, VA's Evidence Synthesis Program (ESP) in West Los Angeles, CA reviewed the literature in PubMed from 1/1/2010 through 6/29/2019 and Cochrane (all databases) from 1/1/2010 through 6/29/2019. (va.gov)
  • Herbert Ruckle, MD. "Robotic Assisted Laparoscopic Prostatectomy. (llu.edu)
  • While the robotic approach has become the standard approach to prostatectomy, there are other urologic procedures (i.e., partial nephrectomy and cystectomy) in which the robotic approach is being introduced. (va.gov)
  • Partial nephrectomy , also called kidney-sparing, is where only a portion of the kidney is resected. (va.gov)
  • Laparoscopic surgery of the kidney. (ac.ir)
  • Does Sarcopenia Impact Complications and Overall Survival in Patients Undergoing Radical Nephrectomy for Stage III and IV Kidney Cancer? (wakehealth.edu)
  • During partial nephrectomy, in which part of the kidney is removed for a renal tumor, hemorrhage can be particularly troublesome because the kidney is a well perfused organ and renal cell carcinomas are associated with increased vascularity [ 1 ]. (biomedcentral.com)
  • Ischemia is not an independent predictive factor of chronic renal failure after partial nephrectomy in a solitary kidney in patients without pre-operative renal insufficiency. (univ-rennes.fr)
  • However, partial nephrectomy can be technically challenging because of intraoperative hemorrhage, which limits the ability to identify the tumor margin and may necessitate the conversion to open surgery or radical nephrectomy. (biomedcentral.com)
  • A treatment safety checklist for the management of hemorrhage during robotic partial nephrectomy was collaboratively developed based on prior experiences with intraoperative hemorrhage during robotic partial nephrectomy. (biomedcentral.com)
  • Safely performing robotic partial nephrectomy is dependent on attention to prevention of hemorrhage and rapid response to the challenge of intraoperative bleeding. (biomedcentral.com)
  • A prospective comparison of laparoscopic and robotic radical nephrectomy for T1-2N0M0 renal cell carcinoma. (wakehealth.edu)
  • A single institution experience of 141 cases of laparoscopic radical nephrectomy with cost-reductive measures. (wakehealth.edu)
  • Oncologic outcome of 132 cases of laparoscopic radical nephrectomy with intact specimen removal for T1-2N0M0 renal cell carcinoma. (wakehealth.edu)
  • During this stressful situation, it is imperative for the surgeon to have an organized approach to management of hemorrhage, as delayed management could lead to prolonged ischemic times, iatrogenic positive surgical margins from inadequate visualization, conversion to open surgery, or radical nephrectomy. (biomedcentral.com)
  • There was no difference regarding postoperative length of hospital stay ( p = 0.37), complications ( p = 0.86), or positive margins ( p = 0.93).Conclusions: in early experience, RPN appears to be a feasible and safe alternative to its laparoscopic counterpart with decreased warm ischaemia times noted. (soton.ac.uk)
  • These were cases with 46, XX congenital adrenal hyperplasia, partial androgen insensitivity, mixed or partial gonadal dysgenesis, and micropenis where data about the assigned gender, childhood genital-normalizing surgery, and adult gender could be extracted. (e-urol-sci.com)
  • This study aimed to document the surgical and oncologic results of nephron sparing of non-ischemic laparoscopic partial nephrectomy without the step of hilus controlling and even without dissecting to expose the main renal vascularity and directly focusing on mass removal. (ac.ir)
  • UroToday - Incidence of Benign Pathologic Findings at Partial Nephrectomy for Solitary Renal Mass Presumed to be Renal Cell Carcinoma on Preoperative Imaging The authors conclude that there is no reliable indicator of benign pathology preoperatively in solitary renal masses, as all of these were considered to be renal cell carcinoma on preoperative imaging. (theroboticsurgeon.com)
  • Yuksel OH, Otunctemur A, Ozbek E, Uruc F, Verit A. Should oncological cases of upper urinary system be excluded at the beginning of the laparoscopic learning curve? (ac.ir)
  • There were no conversions to open technique or additions of conventional laparoscopic ports. (auanet.org)
  • The records of the patients who underwent our modified laparoscopic partial nephrectomy technique were evaluated retrospectively. (ac.ir)
  • 0.05 considered significant.Evidence synthesis: a total of 717 patients were included, 313 patients in the robotic group and 404 patients in the laparoscopic group (seven studies). (soton.ac.uk)
  • Indocyanine green cannot predict malignancy in partial nephrectomy: histopathologic correlation with fluorescence pattern in 100 patients. (wakehealth.edu)
  • To our knowledge, a comprehensive safety checklist does not exist to guide surgeons on the management of hemorrhage during robotic partial nephrectomy. (biomedcentral.com)
  • Thus, the existing literature does little to educate surgeons on how to deal with bleeding during robotic partial nephrectomy while clamped. (biomedcentral.com)
  • The goal of this manuscript is to educate robotic surgeons in factors to minimize hemorrhage during robotic partial nephrectomy. (biomedcentral.com)
  • Present un-controlled results pointed that tumor-focusing nephron-sparing non-ischemic partial lap-aroscopic nephrectomy may be preferable for small-sized, low-complex renal masses. (ac.ir)
  • Running suture, particularly using barbed wires, shortened the operating and ischaemia times. (bjuinternational.com)
  • From these, 42 publications met inclusion criteria including: 4 cost-effectiveness analyses, 4 cost-only studies, 7 nephrectomy observational studies, and 16 articles describing 5 cystectomy randomized controlled trials (RCTs), and 11 cystectomy observational studies. (va.gov)
  • Multicenter experience with nonischemic multiport laparoscopic and laparoendoscopic single-site partial nephrectomy utilizing bipolar radiofrequency ablation coagulator. (ac.ir)
  • Touma NJ, Matsumoto ED, Kapoor A. Laparoscopic partial nephrectomy: The Mc Master University experience. (ac.ir)
  • The following is a partial list of the "E" codes for Medical Subject Headings (MeSH), as defined by the United States National Library of Medicine (NLM). (wikipedia.org)
  • 1990 Fellowship Clínico en Disfunción Eréctil, Boston University Medical Center. (ignaciomoncada.com)